HomeMy WebLinkAboutR 2016-301-E Aging - Mengqi Jiang for master aging summer intern DocuSign Envelope ID:OFODCF4C-1F4D-468E-94D2-BAF19E66444B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Menggi Jiang Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 304 Copperline Dr., Apt G City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: $3,600
Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor#63781 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date July 1,2016 Approved by Board Yes❑No[] Agenda Date:
This agreement is approved as to technical form gnd content:
hh ocuSigne by:
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Department Director's Signature Date: 6/16/2016 A.�tdGt�
67E962D18F454FA...
Information Technolosies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Docu5igned""by:
''11i1
Office of the Risk Management Officer aus . (,Orvt16 Date: 6/17/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner rsequired by the Local Government Budget and Fiscal Control Act:
ocuSigned y:
Office of the Chief Financial Officer F�!N Date:6/17/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legapforsmnand sufficiency:
Office of the County Attorney Date: 6/17/2016
4035CE8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5